DR. RYAN JEREMIAH HALPIN (NPI# 1467618025) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467618025 |
| Entity Type | Individual |
| Full Name | DR. RYAN JEREMIAH HALPIN |
| Credential | M.D. |
| Practice Address |
3901 Capital Mall Dr Sw Ste A Olympia WA 98502-8654 |
| Mailing Address |
Po Box 368 Olympia WA 98507-0368 |
| Practice Telephone | 3607868990 |
| Practice Fax Number | 3607869010 |
| Mailing Telephone | 3604555144 |
| Mailing Fax Number | 3604917536 |
| Enumeration Date | 2008-08-04 |
| Last Update Date | 2019-12-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | MD60170876 | WA | Allopathic & Osteopathic Physicians |
| N | 207T00000X | Neurological Surgery | 036.123343 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | MEDICAL LICENSE | MD60170876 | 01 |
| IL | ILLINOIS STATE MEDICAL LICENSE | 036.123343 | 01 |
| WA | 2012038 | 05 |
| Street Address |
3901 CAPITAL MALL DR SW STE A |
| City | OLYMPIA |
| State | WA |
| Zip Code | 98502-8654 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639178361 | Daniel Arthur Churches | Physical Therapist | 3901 Capital Mall Dr Sw, Ste D, Olympia, WA 98502-8654 | 2005-07-15 |
| 1265937379 | Nicole Alisha Spencer | Registered Nurse | 3901 Capital Mall Dr Sw, Olympia, WA 98502-8654 | 2018-03-29 |
| 1912402397 | Kori Ann Dijos | Orthopaedic Surgery | 3901 Capital Mall Dr Sw, Olympia, WA 98502-8654 | 2018-03-27 |
| 1902350606 | Owen Harris | Physician Assistant | 3901 Capital Mall Dr Sw, Olympia, WA 98502-8654 | 2016-08-10 |
| 1376994228 | Dana Beth Hooper | Physical Therapist | 3901 Capital Mall Dr Sw, Olympia, WA 98502-8654 | 2016-06-22 |
| 1649639709 | Katie Jean Walczyk | Physical Therapist | 3901 Capital Mall Dr Sw, Suite D, Olympia, WA 98502-8654 | 2016-02-17 |
| 1609233527 | Camille Haskins | Physical Therapist | 3901 Capital Mall Dr Sw, Olympia, WA 98502-8654 | 2016-01-22 |
| 1023494200 | Renea Rochelle Atwood | Physical Therapy Assistant | 3901 Capital Mall Dr Sw, Olympia, WA 98502-8654 | 2015-08-10 |
| 1770975732 | Andrew Cummins | Physical Therapy Assistant | 3901 Capital Mall Dr Sw, Olympia, WA 98502-8654 | 2015-02-28 |
| 1629474465 | Stephen Burton | Physical Therapist | 3901 Capital Mall Dr Sw, Olympia, WA 98502-8654 | 2014-11-05 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801409172 | Fanny Cordero | Interpreter | 1415 4th Ave W, Olympia, WA 98502 | 2020-08-26 |
| 1235762832 | Accessible Living Physical Therapy | Clinic/Center | 3524 7th Ave Se, Olympia, WA 98502 | 2020-02-21 |
| 1548807738 | Kaiser Foundation Health Plan of Washington | Pharmacy | 1200 Cooper Point Road Sw, Suite 100, Olympia, WA 98502 | 2019-12-06 |
| 1851946388 | Katherine Ann Vitela | Registered Nurse | 4909 Green Wood Dr Sw, Olympia, WA 98502 | 2019-08-01 |
| 1538632658 | Carmen Rae Breding | Massage Therapist | 2627 Capital Mall Dr Se, Olympia, WA 98502 | 2019-01-11 |
| 1285129155 | Fook Yee Cheung | Genetic Counselor, MS | 2010 Caton Way Sw Ste 102, Olympia, WA 98502 | 2018-06-24 |
| 1942724158 | William Coburn | Specialist/Technologist | 703 Lilly Road Ne, Suite 104, Olympia, WA 98502 | 2017-07-29 |
| 1225567415 | Thierry Buckner | Counselor | 2400 Bristol Court Sw, Olympia, WA 98502 | 2017-06-09 |
| 1619406048 | Trenton Reid | Massage Therapist | 2103 Harrison Ave Nw #2642, Olympia, WA 98502 | 2017-06-08 |
| 1962807305 | Richa Mehta | Dentist | 1530 Black Lake Boulevard, Suite A103, Olympia, WA 98502 | 2014-10-28 |
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| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336307222 | Edward Peter Hoffman | Neurological Surgery | 3910 Sunset Beach Dr Nw, Olympia, WA 98502-3557 | 2008-05-28 |
| 1457471179 | William Frank Emmons Jr. | Neurological Surgery | 8607 Fernwood St Ne, Olympia, WA 98516 | 2007-03-29 |
| 1427127455 | Robert G.r. Lang | Neurological Surgery | 3525 Ensign Rd Ne Ste J, Olympia, WA 98506-5065 | 2006-11-06 |
| 1548201346 | Brian A Iuliano | Neurological Surgery | 615 Lilly Rd Ne Ste 220, Pmg Sw Wa Neurosurgery, Olympia, WA 98506-5137 | 2006-06-10 |
| 1417123779 | Sheila M Smitherman | Neurological Surgery | 615 Lilly Rd Ne Ste 200, Pmg Sw Wa Neurosurgery, Olympia, WA 98506-5137 | 2008-05-06 |
| 1447329412 | Robert G.r. Lang, M.d., Inc., P.s. | Neurological Surgery | 3525 Ensign Rd Ne Ste J, Olympia, WA 98506-5065 | 2006-11-06 |
| 1649389263 | Barbara Eileen Lazio | Neurological Surgery | 615 Lilly Rd Ne Ste 220, Olympia, WA 98506-5137 | 2006-08-29 |
| 1982620654 | Providence Health & Services Washington | Neurological Surgery | 615 Lilly Rd Ne, Ste 220, Olympia, WA 98506-5137 | 2006-07-14 |
| 1396775896 | Yoshihiro Yamamoto | Neurological Surgery | 615 Lilly Rd Ne, Ste. 100, Olympia, WA 98506-5117 | 2006-07-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306311386 | David W. Newell M.d. P.s. | Neurological Surgery | 1370 116th Ave Ne Ste 105, Bellevue, WA 98004-3825 | 2018-10-05 |
| 1891243820 | Kiana Uylukcu | Neurological Surgery | Medex Northwest, 4311 11th Avenue Ne, Suite 200, Seattle, WA 98105-3007 | 2016-09-19 |
| 1346691953 | James M Blue | Neurological Surgery | 4882 Forest Ave S.e., Mercer Island, WA 98040 | 2016-06-24 |
| 1427406883 | Fourth Corner Neurosurgical Associates | Neurological Surgery | 710 Birchwood Ave Ste 101, Bellingham, WA 98225-1720 | 2016-05-26 |
| 1659618510 | Antonio A Moure | Neurological Surgery | 1521 2nd Ave, Apartment 1400, Seattle, WA 98101-4500 | 2013-01-12 |
| 1699033894 | Calvin Curtis Whaley | Neurological Surgery | 550 17th Ave Ste 110, Seattle, WA 98122-5789 | 2012-04-25 |
| 1760752240 | David Elbert Grayson | Neurological Surgery | 17625 Se 45th Pl, Bellevue, WA 98006-6520 | 2011-12-30 |
| 1366734063 | Northwest Spine, Pllc | Neurological Surgery | 1017 S 40th Ave, Yakima, WA 98908-3805 | 2011-05-12 |
| 1396050845 | Vincent Edward Bryan Jr. | Neurological Surgery | 342 Silica Rd Nw, Quincy, WA 98848-9468 | 2010-08-09 |
| 1760636690 | Providence Health & Services - Washington | Neurological Surgery | 301 W Poplar Street, Ste 220, Walla Walla, WA 99362-2800 | 2008-11-05 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.